Active NPI
James Kenneth Randall, CRNA
- Certified Registered Nurse Anesthetist
- Midwest City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 186656
- Practice address
- 2825 Parklawn Dr
Midwest City, OK 73110-4201 - Phone
- (405) 610-4411
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 186656 | NC | Primary |
Addresses
Primary practice location
2825 Parklawn Dr
Midwest City, OK 73110-4201
Mailing address
3613 Brownwood LN
Norman, OK 73072-1798
Phone (252) 458-5156
Other practice location 1
111 Hospital Dr
Tarboro, NC 27886-2011
Phone (252) 641-7700 ext. 7170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10512 N 110TH E Ave
Bailey Med Ctr
Owasso, OK 74055-6636
Phone (918) 376-8000
2825 Parklawn Dr
Midwest City, OK 73110-4201
Phone (405) 272-7279
Hospital & facility affiliations
- SSM Health St Anthony Hospital - Midwest
- SSM Health St Anthony Hospital - Oklahoma City
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 186656 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Deaconess Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McAlester Ambulatory Surgery Center, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
305 S 5th St
Enid, OK 73701
Phone (580) 233-6100
2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453
5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000
10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172
1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered, OK
-
- Anesthesiology Physician
- Oklahoma City, OK
- NPI 1912432048
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- McAlester, OK
- NPI 1487644506
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Midwest City, OK
- NPI 1700471497
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1649484361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3613 BROWNWOOD LN",
"city": "NORMAN",
"state": "OK",
"postal_code": "730721798",
"telephone_number": "252-458-5156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 PARKLAWN DR",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104201",
"telephone_number": "405-610-4411"
}
],
"practiceLocations": [
{
"address_1": "111 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Tarboro",
"state": "NC",
"postal_code": "278862011",
"country_code": "US",
"telephone_number": "252-641-7700 x7170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANDALL",
"first_name": "JAMES",
"middle_name": "KENNETH",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "186656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.